Individual
ELLIOT ANTHONY NACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 JENNINGS MILL RD STE 110, WATKINSVILLE, GA 30677-7241
(706) 613-5880
Mailing address
1305 JENNINGS MILL RD STE 110, WATKINSVILLE, GA 30677-7241
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
90210
GA
207XS0106X
Orthopaedic Hand Surgery Physician
036135852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135852
—
IL
Enumeration date
04/23/2008
Last updated
01/04/2022
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